Case Manager RN - Full-Time Days

Provident Behavioral Health; Beverly (MA); Vor Ort; USD 75.000 - 95.000; Vollzeit

Zusammenfassung

Provident Behavioral Health is seeking a dedicated Case Manager to serve as a care coordinator for patients, families, and caregivers. The role includes conducting concurrent and retrospective reviews to ensure appropriate utilization and to coordinate discharge plans.

Collaborate with healthcare teams, insurers, and continuing care agencies to facilitate safe transitions while adhering to regulatory compliance and criteria.

Qualifikationen

• Must hold Massachusetts RN license.
• BSN preferred but not required for eligibility.

Aufgaben

• Coordinate patient care and discharge planning.
• Ensure regulatory compliance through reviews and processes.
• Collaborate with healthcare providers, patients, families and insurers.
• Assess patient needs and optimize care utilization.

Kenntnisse

Case management

Care coordination

Regulatory compliance

Collaboration

Ausbildung

Massachusetts RN license

BSN preferred

Jobbeschreibung

Role Overview

Seeking a dedicated Case Manager to serve as a care coordinator for patients, families, and caregivers. Responsibilities include conducting concurrent and retrospective reviews to ensure appropriate utilization, assess patient needs, prevent denials, and coordinate discharge plans. They facilitate safe and effective transitions by collaborating with healthcare teams, insurers, and continuing care agencies, while adhering to regulatory compliance and specific criteria.

Qualifications & Skills

• Graduate of an accredited nursing program; BSN preferred
• 2-3 years of Case Management experience preferred
• Current Massachusetts RN licensure
• Case Management certification preferred

Key Duties

• Coordinate patient care and discharge planning
• Ensure regulatory compliance through review processes
• Collaborate with healthcare providers, patients, families, and insurers
• Assess patient needs and optimize care utilization